About The Role

Reports to: Director of Revenue Cycle | Direct Reports: none

God Restoring Order (GRO) Community is a mental healthcare provider that specializes in
trauma recovery services for males of color ages 5 and up. GRO services are grounded in an
understanding of the neurological, biological and psychological effects of trauma. GRO services
include mental health and wellness, stress management, and community outreach.

The Revenue Biller is responsible for managing and processing Medicaid and third-party
insurance claims for services delivered across Illinois and Ohio operations. This role ensures
accurate coding, timely submission, reimbursement tracking, and resolution of claim
discrepancies to support optimal revenue cycle performance.
The Revenue Biller plays a critical role in maintaining compliance with state Medicaid
regulations, improving reimbursement efficiency, and safeguarding organizational revenue
integrity.

Collect and process Ohio and Illinois Medicaid reimbursements by gathering, coding, and transmitting client service information accurately and timely.
Review client records to verify proper Medicaid coding, service authorization, and documentation completeness
Submit electronic claims through designated Medicaid portals and billing platforms.
Verify accuracy of Medicaid coding prior to submission to ensure payment integrity.
Monitor claim status and ensure timely adjudication within standard processing periods.

Investigate and resolve billing discrepancies through detailed research and data analysis.
Adjust patient bills based on remittance advice and Medicaid correspondence.
Resolve denied or disputed claims by consulting with Medicaid claims representatives and providing additional documentation as required.
Follow up on unpaid or delayed claims within standard claim aging timelines.
Maintain detailed documentation of claim follow-up and resolution efforts.
Revenue Integrity & Reporting
Analyze billing records for completeness and accuracy; obtain clarifications when
needed.

Collect and bill commercial insurance carriers and other third-party payers as applicable.
Verify eligibility and coverage prior to billing.
Ensure coordination of benefits when multiple payers are involved.

Stay current on Illinois and Ohio Medicaid billing regulations, coding updates, and
reimbursement requirements.
Participate in professional development opportunities related to Medicaid billing and
revenue cycle management.
Maintain confidentiality and compliance with HIPAA and organizational standards.

Bachelor's degree in Healthcare Administration, Business, Finance, or related field required
Billing/Coding Certification desired.

Minimum 2–3 years of Medicaid billing experience (Illinois and/or Ohio preferred)
Experience working in behavioral health, community mental health, or social services
billing strongly preferred
Experience with electronic health record (EHR) systems and Medicaid portals required

At GRO Community, we believe in healing through empowerment and innovation. Our work
centers on serving individuals and families with compassion and integrity. Join our team to make
a meaningful impact while building your professional skills in a supportive and mission-driven
environment.
Interested candidates should submit a resume and cover letter detailing their relevant
experience to [email hidden].

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